Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.21 / $3,243.08 / $6,731.66	Facility		$341.21	$3,243.08	$6,731.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $629.92 / $4,684.66	Professional		$166.76	$629.92	$4,684.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $377.01 / $1,081.85	Professional		$166.76	$377.01	$1,081.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $195.26 / $248.97	Facility		$162.72	$195.26	$248.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $160.46 / $222.21	Professional		$151.65	$160.46	$222.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.23 / $498.08 / $764.07	Facility		$426.23	$498.08	$764.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $661.19 / $751.35	Professional		$269.88	$661.19	$751.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $245.06 / $1,435.89	Facility		$163.37	$245.06	$1,435.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $416.64 / $2,801.92	Facility		$163.37	$416.64	$2,801.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.32 / $678.88 / $5,110.16	Professional		$200.32	$678.88	$5,110.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $215.84 / $481.26	Professional		$108.15	$215.84	$481.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $245.06 / $1,435.89	Facility		$163.37	$245.06	$1,435.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.54 / $407.88 / $608.88	Professional		$334.54	$407.88	$608.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,826.70 / $7,826.70 / $7,826.70	Facility		$7,826.70	$7,826.70	$7,826.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $236.38 / $236.38 / $236.38	Facility	AS	$236.38	$236.38	$236.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $2,695.18 / $5,110.16	Professional		$309.35	$2,695.18	$5,110.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $567.21 / $2,127.75 / $2,383.03	Professional		$567.21	$2,127.75	$2,383.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $506.43 / $951.77	Professional		$198.53	$506.43	$951.77